Individual
MR. RAYMOND MICHAEL LIEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
1903 S BATES ST, BIRMINGHAM, MI 48009-1977
(586) 770-9231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309498
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704309498
MI
Other
Enumeration date
06/13/2022
Last updated
03/06/2023
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